| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
7,881 |
7,009 |
$431K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
6,640 |
5,902 |
$82K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,663 |
1,499 |
$78K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,166 |
1,051 |
$34K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,264 |
1,100 |
$14K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
947 |
856 |
$14K |
| A7015 |
Aerosol mask, used with dme nebulizer |
6,548 |
5,805 |
$14K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
6,187 |
5,413 |
$12K |
| A7031 |
Face mask interface, replacement for full face mask, each |
440 |
394 |
$10K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
4,980 |
4,362 |
$8K |
| K0001 |
Standard wheelchair |
881 |
752 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
101 |
100 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
188 |
173 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
231 |
211 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
263 |
232 |
$855.98 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
25 |
25 |
$99.85 |
| A4285 |
Polycarbonate bottle for use with breast pump, replacement |
13 |
12 |
$28.00 |